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Vol. 115 No. 7, July 1989 |
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PAPERS READ BEFORE THE AMERICAN ACADEMY OF FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, WASHINGTON, DC, SEPTEMBER 23-28, 1988 |
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Rhinoplasty and General AnesthesiaHalothane vs Enflurane as Agent of Choice
Stuart G. Selkin, MD
Arch Otolaryngol Head Neck Surg. 1989;115(7):802-803.
Abstract
In 500 rhinoplasties, infiltration of 1% lidocaine (Xylocaine) hydrochloride with epinephrine chloride (Adrenalin) 1:100000 was used in combination with inhalation of halothane (Fluothane) or enflurane (Ethrane). Three arrhythmias requiring treatment occurred when halothane was used. No arrhythmias occurred with the use of enflurane. No complications from anesthesia were observed. No patient had laryngospasm. Bleeding was comparable with that which occurs when infiltration anesthesia is used with intravenous sedation. Enflurane is therefore the inhalation agent of choice for use with 1% lidocaine with epinephrine 1:100000 for rhinoplasty. Clinical methods and guidelines for safety are set forth with special consideration for the in-office surgical suite.
(Arch Otolaryngol Head Neck Surg. 1989;115:802-803)
Author Affiliations
From the Division of Otorhinolaryngology, Massapequa General Hospital, Seaford, NY.
Footnotes
Accepted for publication January 5, 1989.
Read before the annual fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Washington, DC, September 23, 1988.
Reprint requests to 1171 Old Country Rd, Plain-view, NY 11803 (Dr Selkin).
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